Angela Dawn Bass

NPI #1154960144 in Ogema, Minnesota

Provider Information

NPI Number: 1154960144
Entity Type: Individual
Name: Angela Dawn Bass
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 301 FEATHER ST
City: Ogema
State: Minnesota
ZIP Code: 56569-6902
Phone: (218) 983-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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